Provider Demographics
NPI:1598065468
Name:BORDERS, JOLENE KAY (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JOLENE
Middle Name:KAY
Last Name:BORDERS
Suffix:
Gender:F
Credentials:WHNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 PROGRESS POINT PKWY STE 206
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-2207
Mailing Address - Country:US
Mailing Address - Phone:636-344-3060
Mailing Address - Fax:
Practice Address - Street 1:20 PROGRESS POINT PKWY STE 206
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2207
Practice Address - Country:US
Practice Address - Phone:636-344-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010036457363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health